Factors Influencing Contraceptive Use among Women-Afghanistan

The increase in contraceptive use in Afghanistan has been frustratingly slow from 7.0% in 2003 to
11.3% in 2012. Data on contraceptive use and influencing factors were obtained from Afghanistan Health
Survey (AHS) 2012, which had been collected through interview-led questionnaire from 13,654 current
married women aged 12–49 years. Odds ratio (OR) and 95% confidence interval (CI) of contraceptive
use were estimated by logistic regression analysis. When adjusted for age, residence, region, education,
media, and wealth index, significant OR was obtained for parity (OR of 6 or more children relative to
1 child was 3.45, and the 95%CI 2.54–4.69), number of living sons (OR of 5 or more sons relative to
no son was 2.48, and the 95%CI 1.86–3.29), wealth index (OR of the richest households relative to the
poorest households was 2.14, and the 95%CI 1.72–2.67), antenatal care attendance (OR relative to no
attendance was 2.13, and the 95%CI 1.74–2.62), education (OR of secondary education or above relative
to no education was 1.62, and the 95%CI 1.26–2.08), media exposure (OR of at least some exposure to
electronic media relative to no exposure was 1.15, and the 95%CI 1.01–1.30), and child mortality experi-
ence (OR was 0.88, and the 95%CI 0.77–0.99), as well as age, residence (rural/urban), and region. This
secondary analysis based on AHS 2012 showed the findings similar to those from the previous studies in
other developing countries. Although the unique situation in Afghanistan should be considered to promote
contraceptive use, the background may be common among the areas with low contraceptive use.

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